Individual
MRS. MICHELLE R CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-8450
Mailing address
6425 NW CACHE RD STE 218, LAWTON, OK 73505-3393
(580) 205-5115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11197
OK
Other
Enumeration date
04/25/2023
Last updated
03/13/2026
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